Claim Examiner- WC

Sr Claim Examiner- WC
Location: (100% Remote)
Duration: 6+ Months (Contract)

Must have a valid TX Workers Comp Adjusters license.
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
Analyzes claims activity and prepares reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.

Must have a valid TX Workers Comp Adjusters license and have knowledge of Longshore claim handling.

Last updated on Oct 31, 2023